OB Quiz 23-27
A nurse is reviewing contraindications for circumcision with a newly hired nurse. Which of the following conditions are contraindications? (SATA)
Hypospadias Family Hx of hemophilia Epispadias
A nurse is providing discharge teaching to the parents of a newborn regarding circumcision care. Which of the following statements made by the parent indicates an understanding of the teaching?
I will clean his penis with each diaper change
A nurse is preparing to administer a vitamin K injection to a newborn. Which of the following responses should the nurse make to the newborn's mother regarding why this medication is given?
It assists with blood clotting
A nurse is taking a newborn to a mother following a circumcision. Which of the following actions should the nurse take for security purposes?
Match the mother's id band with the newborns id band
A nurse is reviewing formula preparation with parents who plan to bottle-feed their newborn. Which of the following information should the nurse include in the teaching? (SATA)
Place used bottles in the dishwasher Check the nipple for appropriate flow of formula Use tap water to dilute concentrated formula
A nurse is caring for an infant who has a high bilirubin level and is receiving phototherapy. Which of the following is the priority finding in the newborn?
Sunken fontanels
A nurse is assessing the reflexes of a newborn.In checking for the moro reflex, the nurse should perform which of the following?
Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to fall backwards
A nurse is teaching a newly licensed nurse about neonatal abstinence syndrome. Which of the following statements by the newly license nurse indicate understanding of the teaching?
"The newborn will have a continuous high-pitched cry"
A nurse is teaching a newly licensed nurse how to bathe a newborn and observes bluish marking across the newborn's lower back. The nurse should include which of the following information in the teaching?
"This is frequently seen in newborns who have dark skin"
A nurse is caring for a client who is at 42 weeks gestation and in labor. The client asks the nurse what should she expect because her baby is postmature. Which of the following statements should the nurse make?
"Your baby's skin will have a leathery appearance"
A nurse is completing an assessment. Which of the following data indicate the newborn is adapting to extrauterine life? (SATA)
Apnea for 10-second periods Obligatory nose breathing
A nurse is caring for a newborn immediately following a circumcision using a Gomco procedure. Which of the following actions should the nurse implement?
Apply petroleum gauze to the site
A nurse is caring for a newborn. Which of the following actions by the newborn indicates readiness to learn?
Attempts to place his hand in his mouth
A nurse is caring for a newborn who was born at 38 weeks gestation, weighs 3200 g, and is in the 60th percentile for weight. Based on the weight and gestational age, the nurse should classify this neotate as which of the following? A. Low birth weight B. Appropriate for gestational age C. Small for gestational age D. Large for gestational age
B. Appropriate for gestational age
A nurse is reviewing car seat safety with the parents of a newborn. Which of the following instructions should the nurse include in the teaching regarding car seat position?
Back seat, rear-facing
A nurse is caring for a newborn immediately following birth. Which of the following nursing interventions is the highest priority?
Covering the newborn's head with a cap
A nurse is reviewing breastfeeding positions with the mother of a newborn. Which of the following positions should the nurse discuss?
Cradle
A nurse is completing a newborn assessment and observes small white nodules on the roof of the newborn's mouth. This finding is a characteristic of which of the following conditions? A. Mongolian spots B. Milia spots C. Erythema toxicum D. Epstein's pearls
D. Epstein's pearls
A nurse is preparing to administer prophylactic eye ointment to a newborn to prevent opthalmia neonatorum. Which of the following medications should the nurse anticipate administering?
Erythromycin
A newborn was not dried completely after birth. Which of the following mechanisms should the nurse understand causes heat loss? A) Conduction B) Convection C) Evaporation D) Radiation
Evaporation
A nurse is reviewing care of the umbilical cord with the parent of a newborn. Which of the following instructions should the nurse in the teaching?
Keep the diaper folded below the cord
A nurse is teaching a group of new parents about proper techniques for bottle feeding. Which of the following instructions should the nurse provide?
Keep the nipple full of formula throughout the feeding
A nurse is called to the birthing room to assist with the assessment of a newborn who was born at 32 weeks of gestation. The newborn's birth weight is 1100 g. Which of the following are expected findings in this newborn? (SATA)
Lanugo Weak grasp reflex Translucent skin
A nurse is caring for a newborn who is preterm and has respiratory distress syndrome. Which of the following should the nurse monitor to evaluate the newborn's condition following administration of synthetic surfactant?
Oxygen saturation
A nurse is giving instructions to a mother about how to breastfeed her newborn. Which of the following actions by the mother indicates understanding of the teaching?
When latched on, the infant's nose, cheek, and chin are touching the breast